Document Type : Original Research Article
Authors
1 Assistant Professor of Otorhinolaryngology, Head and Neck Surgery. Department of Otorhinolaryngology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
2 Assistant Professor of Otorhinolaryngology, Head and Neck Surgery, Tuberculosis and Lung Disease Research Center, Department of Otorhinolaryngology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Abstract
The main indications for tonsillectomy are recurrent infection, pre-tonsillar abscess, and obstructive sleep apnea and suspected malignancy. Incisional biopsy or Excisional biopsy is needed when a tonsillectomy is examined for suspected malignancy. According to the above, the purpose of this study is to evaluate the clinical results and pathological findings of tonsillectomy samples in people 16 years and younger. This case control study was performed with the participation of 305 patients under 18 years of age who were candidates for tonsillectomy surgery; Samples obtained after surgery were measured using Brodsky criteria and their results were evaluated and compared with pathology results. Surgical indications for 102 patients with symmetrical tonsils, including 46 cases with chronic tonsillitis (1.45%), hypertrophy of the tonsils with obstruction in 24 cases (23.5%), and recurrent infections of the tonsils with hypertrophic palate in 32 patients (4.31). %) Was. Pathologically studied samples in the control group were reactivemphoid hyperplasia in 56 cases (9.54%), lymphoidhyperplasia with fibrosis in 24 cases (23.5%) and chronic tonsillitis in 22 cases (21.5%). Tonsillectomy with indication of chronic tonsillitis and recurrent tonsillitis in patients who are otherwise normal examination is secondary to benign hyperplasia or anatomical factors. Therefore, the presence of asymmetry without suspicious appearance factors and significant signs and symptoms and progressive enlargement of the tonsils and concomitant adenopathy and a history of malignancy or immunodeficiency do not suggest malignancy and have no diagnostic value.
Keywords
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